Individual
MR. BRYAN MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NASE, PES
Contact information
Practice address
7308 BRIDGEPORT WAY W STE 103, LAKEWOOD, WA 98499-8000
(253) 582-8142
Mailing address
2101 N PUGET SOUND AVE, TACOMA, WA 98406-5852
(714) 488-4939
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A1 60284579
WA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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